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Third-Party Medical Claims ProcessorHire Up Staffing & Healthcare • Fresno, CA
Third-Party Medical Claims Processor

Third-Party Medical Claims Processor

Hire Up Staffing & Healthcare • Fresno, CA
10 days ago
Job type
  • Full-time
Job description


Don’t miss this amazing opportunity with one of our best employers in Fresno!

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA!

We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA.

This full-time, on-site position runs Monday to Friday from 7:00 AM to 4:00 PM, offering competitive pay ranging from $18 to $20 per hour, depending on experience.
Ideal Candidate:
The perfect fit for this role has at least 3 years of experience in medical billing or claims processing—especially if that experience includes working with a third-party administrator (TPA) within an insurance company. Prior TPA exposure is highly preferred due to the nature of this employer’s group benefit processing.
Job Requirements:


  • High School Diploma or GED required

  • Minimum of 3 years of experience in a computerized medical billing or claims processing environment

Key Responsibilities:


  • Manage claims across multiple groups with accuracy and speed

  • Process CMS- and UB-04 claims

  • Accurately handle high-dollar claims

  • Work with JAA/BlueCard claims

  • Interpret group SPD’s and apply benefits appropriately

  • Perform zero-dollar adjustments and review flagged claims

  • Maintain accurate reporting and resolve issues via FOGBUGZ

  • Use tools like the Anthem Blue Cross website for claims verification

  • Batch and scan correspondence

  • Track spreadsheets for special projects

  • Maintain excellent email communication and confidentiality


If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!

#INDHP


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Third-Party Medical Claims Processor • Fresno, CA

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